Provider Demographics
NPI:1619484029
Name:MURPHY, ANDREA VIATOR (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:VIATOR
Last Name:MURPHY
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8415 GOODWOOD BLVD STE 202B
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-7851
Mailing Address - Country:US
Mailing Address - Phone:225-765-8988
Mailing Address - Fax:225-765-1173
Practice Address - Street 1:8415 GOODWOOD BLVD STE 202B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806
Practice Address - Country:US
Practice Address - Phone:225-765-8988
Practice Address - Fax:225-765-8988
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09527363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner